Provider Demographics
NPI:1528032471
Name:TSAO, JOYCE HASWELL (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:HASWELL
Last Name:TSAO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 LYNNHAVEN PKWY
Mailing Address - Street 2:SUITE 240
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-7324
Mailing Address - Country:US
Mailing Address - Phone:757-962-2780
Mailing Address - Fax:757-240-5936
Practice Address - Street 1:770 LYNNHAVEN PKWY
Practice Address - Street 2:SUITE 240
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-7324
Practice Address - Country:US
Practice Address - Phone:757-962-2780
Practice Address - Fax:757-240-5936
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040013701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
028784OtherVALUE OPTIONS
46692635OtherMULTIPLAN
213522OtherMAMSI
VA8903352Medicaid
132072OtherMANAGED HEALTH NETWORK
VA800001206Medicare ID - Type Unspecified
132072OtherMANAGED HEALTH NETWORK